Provider Demographics
NPI:1861368532
Name:SELEVIVE CONTINUUM OF CARE AFH
Entity type:Organization
Organization Name:SELEVIVE CONTINUUM OF CARE AFH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VIVIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:OBAH
Authorized Official - Suffix:
Authorized Official - Credentials:LNHA
Authorized Official - Phone:360-436-2547
Mailing Address - Street 1:4730 88TH ST NE
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98270-3023
Mailing Address - Country:US
Mailing Address - Phone:360-436-2547
Mailing Address - Fax:
Practice Address - Street 1:4730 88TH ST NE
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:WA
Practice Address - Zip Code:98270-3023
Practice Address - Country:US
Practice Address - Phone:360-436-2547
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-10
Last Update Date:2025-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home